HomeMy WebLinkAboutZ-17548FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate O[ Occupancy
ZI7548 November 29, 1988
No .................. Date ................................
THIS CERTIFIES that the building ...O.n.e...f.a.m.i. 1..y..d.w.e..1.1.i.n.g...&..a.c. ~ .e.s.s.o..r.y..g.a..r.a.g.e..
Location of Pro erty Clay Point Road Fishers Island
House No. Street Hamlet
County Tax Map No. 1000 Section .0.3. ......... Block .0,5 ............. Lot 04
Subdivision ............................... Filed Map No ......... Lot No ..............
REQUIREHENTS FOR 'A PRIVATE ONETFAHILY DWELLING BUILT PRIOR TO
conforms substantially to the 2fgl[clflI~rclbl~h~va~tl~l~'x~lm~ig~xa~x'V~7,tl~Xd~i~g~K~
CERTIFICATE OF OCCUPANCY #Z17548
.A.p.r.i. 1...9 .,.. 1.9. .5.7 ..... pursuant to which B~lxl~l, hXiI lq~6X Y~ ....................
dated .~. o. y.e.m.b.e..r. 12.9. ,...1.9.8.8. ....... was issued, aud conforms to al/of thc requirements
of the applicable provisions of the law. Tile occupancy for which this certificate is issued is .........
ONE FAMILY D~ELLING AND ACCESSORY GARAGE.
Tile certificate is issued to HAROLD L. WILLIANSON, JR.
..................... /o'~.'o;,'tg~6×~,~ ......................
of the aforesaid building.
Suffolk County Department of Health Approval ....... p./.A... ..............................
UNDERWRITERS CERTIFICATE NO ............... .~./.A. ...............................
PLUMBERS CERTIFICATION
SEE INSPECTION REPORT
DATED: N/A
Building Inspector
Location
BU~DI.~ DEP:L~TitENT
TO;~,I OF ~0UT~OLD, N. Y.
HOUoL,G CODE INSPECTION REPORT
CLAY POINT RD. FISHERS ISLAND, N.Y.
Subdivision
Name of Owner(s)
Occupancy R-I
~ype)
A~mitted by: B. REID
Map No.
HAROLD L. MILLIA~SON, JR.
( Mun ~ c ip al i tM )
Lot(s)
OWNER
( owner-cenanv )
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 03-05-04
Source of request BAGLEY REID
Date 11/1/88
D¥~LLiMG:
Type of construction
Foundation CEMENT
Total rooms, 1st. F1
Bathroom(s)
Porch, type GLASSED IN
Breezeway,
Type Heat OIL FIRED
Fireplace(s)
Domestic hotwater YES
Other
WOOD
#stories
Cellar PARTIAL Crawl space
9 2nd. F1 3rd. FI
2 Toilet room(s)
Deck, typ~ WOOD Patio, type_,__
Garag% Utility room
Warm Air xx Hotwater
No. ~its 3 Airconditionin~
Type heater
REST
ELECTRIC
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
WOOD
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 45 N.Y.
Location l Description
I NO VIOLATIONS WERE FOUND.
State Uniform Fire Prevention
& Buildin~ Code
I Art. I S sc.
Remarks: / ,
Inspected by: , , Da. re of Insp.
C. DIXON ' Time start. I I: 2 I
11/I/88
end ]2:32
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted ,- ~ to the Building In~ec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval ot: completed site plan requirements where applicable·
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings·
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.(10, Accessory~$~O.O0 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5~ /~ ~'~
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5.uvdated c.o. ~ 5o.o0 Date....~..~.-.~...,.,~...-...
NewCons truction ...... Old or Pre-existin~ Building ....~. ....... Vacant Land ..........
;,g~
0 or 0 f P ty '
wner wnerso roper , · ..
County 1000 Section 3 B,oc
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ....................... . Labor Dept. Approval ..................... ;..
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Cer~:ificate ..................... Final Certificate .......................
Fee Submitted $ ./..~.~..~ ......................
Construction on above described building and ~L~it meets/~ll apl~-~ble, codes and regulations.
STATE OF NEW YORK) / ,,-~/~
.
co~ o~ sw~o~) A~,~ .......... ~) ..................................
Sw~l°~%7%efore me this 3rd day